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Provider 1598202913

NPI: 1598202913Share
Active Billing Period:2018-02→2024-02(73 months)
Billing appears to have stoppedLast active: 2024-02

Total Paid

$9.0M

$8,999,305

Total Claims

213K

Beneficiaries

90K

2.4 claims/patient

Avg Cost/Claim

$42

Monthly Spending Trend

Yearly Spending

2018
$378K
+202%
2019
$1.1M
+70%
2020
$1.9M
+19%
2021
$2.3M
-50%
2022
$1.2M
+74%
2023
$2.0M
-98%
2024
$41K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (G0470 (Chronic care management services, FQHC/RHC)) accounts for 57% of total spending.

G0470Normal range

Chronic care management services, FQHC/RHC

$5.1M

90K claims · 56.6%

Your Cost: $56.71/claim|Median: $45.95
1.2× median
90832Normal range

Psychotherapy, 30 minutes

$1.3M

49K claims · 14.5%

Your Cost: $26.71/claim|Median: $41.28
0.6× median
G0467Top 25%

Federally qualified health center visit, mental health

$714K

13K claims · 7.9%

Your Cost: $55.18/claim|Median: $21.91
2.5× median
90837Normal range

Psychotherapy, 60 minutes

$359K

13K claims · 4.0%

Your Cost: $26.86/claim|Median: $85.66
0.3× median
90834Normal range

Psychotherapy, 45 minutes

$351K

7,340 claims · 3.9%

Your Cost: $47.87/claim|Median: $63.65
0.8× median
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$341K

7,123 claims · 3.8%

Your Cost: $47.91/claim|Median: $53.41
0.9× median
G0466Top 25%

$242K

2,765 claims · 2.7%

Your Cost: $87.45/claim|Median: $63.31
1.4× median
G0469Normal range

$171K

3,377 claims · 1.9%

Your Cost: $50.50/claim|Median: $70.42
0.7× median
90791Normal range

Psychiatric diagnostic evaluation

$123K

13K claims · 1.4%

Your Cost: $9.48/claim|Median: $99.21
0.1× median
90833Normal range

Psychotherapy, 30 min, add-on to E/M service

$120K

3,984 claims · 1.3%

Your Cost: $30.03/claim|Median: $38.83
0.8× median
Q3014Normal range

Telehealth originating site facility fee

$84K

3,996 claims · 0.9%

Your Cost: $20.93/claim|Median: $15.37
1.4× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$34K

2,074 claims · 0.4%

Your Cost: $16.54/claim|Median: $37.81
0.4× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$25K

874 claims · 0.3%

Your Cost: $29.05/claim|Median: $40.11
0.7× median
99212Normal range

Office/outpatient visit, low complexity

$15K

710 claims · 0.2%

Your Cost: $20.70/claim|Median: $25.06
0.8× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$8K

114 claims · 0.1%

Your Cost: $72.06/claim|Median: $108.91
0.7× median
99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$3K

408 claims · 0.0%

Your Cost: $8.15/claim|Median: $57.85
0.1× median
0071ANormal range

$2K

62 claims · 0.0%

Your Cost: $35.08/claim|Median: $38.71
0.9× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$2K

61 claims · 0.0%

Your Cost: $28.79/claim|Median: $35.43
0.8× median
90845Normal range

$1K

16 claims · 0.0%

Your Cost: $74.88/claim|Median: $17.91
4.2× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$1K

245 claims · 0.0%

Your Cost: $4.78/claim|Median: $84.03
0.1× median
0072ANormal range

$1K

30 claims · 0.0%

Your Cost: $35.12/claim|Median: $39.57
0.9× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$314

45 claims · 0.0%

Your Cost: $6.98/claim|Median: $22.44
0.3× median
99383Normal range

Preventive visit, new patient, late childhood (5-11 yr)

$236

123 claims · 0.0%

Your Cost: $1.92/claim|Median: $81.92
0.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$114

27 claims · 0.0%

Your Cost: $4.21/claim|Median: $80.15
0.1× median
90472Normal range

Immunization administration, each additional vaccine

$99

156 claims · 0.0%

Your Cost: $0.64/claim|Median: $11.79
0.1× median
99308Normal range

Nursing facility care, subsequent, straightforward

$67

432 claims · 0.0%

Your Cost: $0.16/claim|Median: $9.79
0.0× median
91307Normal range

$4

92 claims · 0.0%

Your Cost: $0.05/claim|Median: $0.01
4.8× median
99382Normal range

Preventive visit, new patient, early childhood (1-4 yr)

$0

110 claims · 0.0%

Your Cost: $0.00/claim|Median: $79.89
G0444Normal range

Annual depression screening, fifteen minutes

$0

28 claims · 0.0%

Your Cost: $0.00/claim|Median: $4.23
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $17.85
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